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ot4ul"� ' <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �•.., �; Telephone: (209)4F8-3420 Fax: (209)464-0138 Web:www.sigov.orr /ehd <br /> �rFd'p <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: q <br /> Address: r�r City: Zip Code: <br /> C� r <br /> OwnerlOperator: eSIN <br /> Program Element: / ,L Program Record: j / L 1 Ins ec ion Type�/if <br /> LB180 Posted ,Yes © No Permit Posted Yes ❑ No Re-Inspection on or After: <br /> #„air �q�r�� ¢yam. , sev yygq .-a.• ave v. ±r• sF. a,-. � r vay., s. - � �4 ,�`$ �z.� <br /> `�-,,X;.'P:_ +��r� � �.e,�$s5-:' �'ry. �. .""r'.-3°�. - FtW. 5� `w Y. x?:r�,:✓ ar. �. - 2$ N-i'�:�ti_a�.� w�` �S f� ,'r.�.*�'.'���T.-.i +.� � <br /> I <br /> � h <br /> I <br /> I <br /> i <br /> } <br /> 1 <br /> I <br /> 1�- o��.a.��x{{'-�����,,yy�� #��;= + +i_. "` r.- �.-v: +0 - ,,66 d aa..��l�. fc ti yes� ; �•..,:ids a x -a 4� .+ :-.r y. 3r e ',�'ai +.- � ti; i <br /> 7Y.- <br /> I <br /> i <br /> 0@00, <br /> te .esR ',tE�" 5� J � f r:4� f f "r�r�k � ��! A.+«2 f✓^ <br /> -'A.P 84'v <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: "F <br /> Exp.Date: Warewashing Sink: -F Quat.Amm.: ppm then: -F <br /> Received By 1 Title: <br /> EH Specialist: ! Pho '/ . 'i o 3 <br /> Time in: 1• 2] Time Out: 3" (5(5 Page tof <br /> G , <br /> EH 16-23 (2^"pg) 07129109 FOOD PROGRAM OIR CONTINUATION <br />